How much rates vary
Facilitymedian $2,291 · 10th to 90th $977 to $12,303Professionalmedian $1,047 · 10th to 90th $186 to $2,512
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,778.28 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,778.28 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,778.28 | $1,778.28 | $1,949.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $831.76 Median $1,621.81 Typical High $12,302.69 | Facility | None | $831.76 | $1,621.81 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,905.46 Median $10,232.93 Typical High $11,481.54 | Professional | None | $1,905.46 | $10,232.93 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,238.72 Typical High $4,073.80 | Facility | None | $891.25 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $3,019.95 | Professional | None | $1,318.26 | $1,584.89 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $2,398.83 Typical High $3,467.37 | Professional | None | $1,412.54 | $2,398.83 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $891.25 Typical High $2,344.23 | Professional | None | $169.82 | $891.25 | $2,344.23 |
Pacific Source Setting Facility Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $2,818.38 | Facility | None | $1,548.82 | $2,398.83 | $2,818.38 |
Premera BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,691.53 | Facility | None | $1,122.02 | $1,659.59 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,905.46 | $1,905.46 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,882.50 | Facility | None | $1,513.56 | $2,570.40 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $3,715.35 | Professional | None | $1,513.56 | $1,905.46 | $3,715.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,778.28 | $2,754.23 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,258.93 |
Where Washington sits
The same service costs 7.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington· 49th of 51
$1,047
AK $5,623TX $708
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.